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NUTRITION NBNSC-CNSC : NBNSC Certified Nutrition Support Clinician (CCN)

NBNSC-CNSC

Exam Code: NBNSC-CNSC

Exam Name: NBNSC Certified Nutrition Support Clinician (CCN)

Updated: Aug 25, 2026

Q & A: 102 Questions and Answers

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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

SectionWeightObjectives
Clinical Intervention28%- Oral Nutrition Support
  • 1. Supplements
  • 2. Nutrition counseling
  • 3. Texture modifications
- Nutrition Focused Physical Exam (NFPE)
  • 1. Identification of deficiency signs
- Parenteral Nutrition
  • 1. Monitoring
  • 2. Components (dextrose, amino acids, lipids)
  • 3. Preparation and compounding
  • 4. Vascular access devices
  • 5. Indications
- Enteral Nutrition
  • 1. Access devices
  • 2. Formula selection
  • 3. Indications and contraindications
  • 4. Administration methods
  • 5. Pediatric considerations
Team and Program Management12%- Interdisciplinary Team
  • 1. Roles and responsibilities
  • 2. Communication
- Ethical and Legal Considerations
  • 1. End-of-life nutrition
  • 2. Standards of practice
  • 3. Informed consent
- Education and Training
  • 1. Staff training
  • 2. Patient education
- Quality Management
  • 1. Outcome measures
  • 2. Performance improvement
  • 3. Policies and procedures
Clinical Monitoring and Management18%- Complications
  • 1. Infectious complications
  • 2. GI complications
  • 3. Metabolic complications
  • 4. Mechanical complications
- Monitoring of Nutrition Support
  • 1. Laboratory monitoring
  • 2. Adjustment of care plans
  • 3. Clinical monitoring
- Drug-Nutrient Interactions
  • 1. Effects of drugs on nutrients
  • 2. Effects of nutrients on drugs
Clinical Practice12%- Burns and Trauma
  • 1. Metabolic changes
  • 2. Nutritional requirements
- Disease-Specific Nutrition
  • 1. Pulmonary disease
  • 2. Oncology
  • 3. Hepatic disease
  • 4. Surgical patients
  • 5. Pancreatitis
  • 6. Renal disease
  • 7. Critical illness
- Special Populations
  • 1. Obesity
  • 2. Transplant patients
  • 3. Pediatrics
  • 4. Geriatrics
Basic Science12%- Biochemistry and Metabolism
  • 1. Fluid and electrolyte balance
  • 2. Micronutrient metabolism
  • 3. Acid-base balance
  • 4. Macronutrient metabolism
- Physiology
  • 1. Endocrine regulation
  • 2. Immunology
  • 3. Gastrointestinal physiology
- Biochemical assessment
  • 1. Nutrient deficiency/toxicity
- Anatomy
  • 1. Vascular access anatomy
  • 2. GI tract anatomy
Nutrition Assessment18%- Medical History and Physical Exam
  • 1. Assessment of nutritional status
  • 2. Identification of risk factors
- Estimation of Nutrient Requirements
  • 1. Protein requirements
  • 2. Energy expenditure
  • 3. Fluid requirements
- Biochemical and Clinical Data
  • 1. Organ function tests
  • 2. Visceral protein markers
  • 3. Micronutrient levels
- Intake Assessment
  • 1. Dietary history
  • 2. Oral intake evaluation
- Anthropometric Measurements
  • 1. Weight changes
  • 2. Body composition
  • 3. Growth parameters (pediatrics)

NUTRITION NBNSC Certified Nutrition Support Clinician (CCN) Sample Questions:

1. What is a Registered Dietitian's responsibility when it comes to conflicts of interest?

A) They are exempt from concern for conflicts of interests.
B) They should draft a report outlining the conflict and submit it to the Academy of Nutrition and Dietetics.
C) They should provide full disclosure when a real or potential conflict of interest arises.
D) They should not associate themselves with the person/s with whom the conflict of interest exists.


2. In order to make a sandwich more nutritious, you can do all of the following except:

A) use mayonnaise instead of mustard
B) add lettuce, tomato and other vegetables to the sandwich
C) make a sandwich on whole-grain bread
D) choose a vegetable or fruit side dish


3. A guided goal setting intervention called EatFit using computer technology with middle school adolescents in various school and community settings uses constructs of SCT to improve eating and fitness choices. These goals were reinforced through lessons that focused on all of the following except:

A) verbal encouragement
B) self-regulation
C) only using input from the adolescent
D) learning to read food labels


4. All of the following are uses for Juniper except:

A) regulates blood sugar levels
B) relieves inflammation and congestion
C) acts as a diuretic
D) does not interfere with the absorption of iron and other minerals


5. The primary regulator of fluid intake is

A) Ratio of fat to skeletal muscle.
B) Active transport.
C) Serum potassium level.
D) Thirst.


Solutions:

Question # 1
Answer: C
Question # 2
Answer: A
Question # 3
Answer: C
Question # 4
Answer: D
Question # 5
Answer: D

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NBNSC-CNSC - NBNSC Certified Nutrition Support Clinician (CCN)
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